Attachment 4a - 60 day 2009 FRN

FedRegister_9-4-09.pdf

Cost and Follow-up Assessment of Administration on Aging (AoA) - Funded Fall Prevention Programs for Older Adults

Attachment 4a - 60 day 2009 FRN

OMB: 0920-0818

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Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices
Attention: Document Identifier/OMB
Control Number, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21425 Filed 9–3–09; 8:45 am]
BILLING CODE 4120–01–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10285]

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Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Request for
Expedited Review of Denial of Premium
Assistance; Use: The American
Recovery and Reinvestment Act of 2009
provides for premium assistance and
expanded eligibility for health benefits
under both the Consolidated Omnibus
Budget Reconciliation Act of 1986,
commonly called COBRA, and
comparable State continuation coverage
programs. This premium assistance is
not paid directly to the covered
employee or the qualified beneficiary,
but instead is in the form of a tax credit
for the health plan, the employer, or the

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insurer. ‘‘Assistance eligible
individuals’’ pay only 35% of their
continuation coverage premiums to the
plan and the remaining 65% is paid
through the tax credit.
If an individual requests treatment as
an assistance eligible individual and the
employee’s group health plan,
employer, or insurer denies him or her
the reduced premium assistance, the
Secretary of Health and Human Services
must provide for expedited review of
the denial upon application to the
Secretary in the form and manner the
Secretary provides. The Secretary is
required to make a determination within
15 business days after receipt of an
individual’s application for review.
The Request for Review If You Have
Been Denied Premium Assistance (the
‘‘application’’) is the form that will be
used by individuals to file their
expedited review appeals. Each
individual must complete all
information requested on the
application in order for CMS to begin
reviewing his or her case. An
application cannot be reviewed if
sufficient information is not provided.
Refer to the supporting document
‘‘Crosswalk of Changes Between Request
for Expedited Review of Denial of
Premium Assistance (4/09) and Request
for Review if You Have Been Denied
Premium Assistance (6/09)’’ for a list of
changes: Form Number: CMS–10285
(OMB#: 0938–1062); Frequency:
Reporting—Once; Affected Public:
Individuals and households; Number of
Respondents: 12,000; Total Annual
Responses: 12,000; Total Annual Hours:
12,000. (For policy questions regarding
this collection contact Jim Mayhew at
410–786–9244. For all other issues call
410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web site
address at http://www.cms.hhs.gov/
PaperworkReductionActof1995, or
e-mail your request, including your
address, phone number, OMB number,
and CMS document identifier, to
[email protected], or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on October 5, 2009: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
[email protected].

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Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21423 Filed 9–3–09; 8:45 am]
BILLING CODE 4120–01–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–09–0818]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Maryam I. Daneshvar,
CDC Acting Reports Clearance Officer,
1600 Clifton Road, MS–D74, Atlanta,
GA 30333 or send an e-mail to
[email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Cost and Follow-up Assessment of
Administration on Aging (AoA)Funded Fall Prevention Programs for
Older Adults—Extension—National
Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
CDC received OMB approval for
Control number 0920–0818 to collect
data for the Cost and Follow-up

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Federal Register / Vol. 74, No. 171 / Friday, September 4, 2009 / Notices

Assessment of Fall Prevention
Programs. This approval expires on
7/31/10. At this time we are requesting
a two year extension to collect data.
NCIPC seeks to examine cost of
implementing each of the three AoAfunded fall prevention programs for
older adults (Stepping On, Moving for
Better Balance and Matter of Balance)
and to assess the maintenance of fall
prevention behaviors among
participants six months after completing
the Matter of Balance program.
To assess the maintenance of fall
prevention behaviors, CDC’s contractor,
Booz Allen Hamilton, will conduct
telephone interviews of 300 Matter of
Balance program participants six
months after they have completed the
program. The interview will assess their
knowledge and self-efficacy related to
falls as taught in the course, their
activity and exercise levels, and their

reported falls both before and after the
program. The results of the follow-up
assessment will determine the extent to
which preventive behaviors learned
during the Matter of Balance program
are maintained and can continue to
reduce fall risk.
The cost assessment will calculate the
lifecycle cost of the Stepping On,
Moving for Better Balance, and Matter of
Balance programs. The cost analysis
will include calculating the investment
costs required to implement each
program, as well as the ongoing
operational costs associated with each
program. These costs will be allocated
over a defined period of time,
depending on the average or standard
amount of time these programs continue
to operate (standard lifecycle analysis
ranges from five to 10 years). The data
obtained from the lifecycle cost
calculation will allow us to compare

program costs and to identify specific
cost drivers, cost risks, and unique
financial attributes of each program.
Local program coordinators for the
200 sites in each of the AoA-funded
states will collect the cost data using
lifecycle cost spreadsheets that will be
returned to CDC’s contractor for
analysis. Booz Allen Hamilton has been
contracted by CDC to conduct the data
collection and analysis.
The results of these studies will
support the replication and
dissemination of these fall prevention
programs and enable them to reach
more older adults. States require data on
impact and cost in order to obtain
sustainable and supplemental funding
to maintain programs after funding from
AoA ends.
There are no costs to respondents
other than their time.

ESTIMATE OF ANNUALIZED BURDEN HOURS
Average
burden
per response
(in hours)

Number of
responses

Total burden
(in hours)

Form name

Program Coordinators .......................
Program Participants ........................

Cost Assessment .............................
Impact Survey ..................................

200
300

1
1

2
1

400
300

Total ...........................................

...........................................................

........................

........................

........................

700

Dated: August 28, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E9–21377 Filed 9–3–09; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health

SUMMARY: Under the provisions of
Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the National
Center for Complementary and
Alternative Medicine (NCCAM), the
National Institutes of Health (NIH), will
submit to the Office of Management and
Budget (OMB) a request for review and
approval of the information collection
listed below. A notice of this proposed
information collection was previously
published in the Federal Register on

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June 26, 2009 (Volume 74, Number 122,
page 30577). To date, no public
comments have been received. The
purpose of this notice is to announce a
final 30 days for public comment. NIH
may not conduct or sponsor, and the
respondent is not required to respond
to, an information collection that has
been extended, revised, or implemented
on or after October 1, 1995, unless it
displays a currently valid OMB control
number.
Proposed Collection

Proposed Collection; Comment
Request; NCCAM Customer Service
Data Collection

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Number of
respondents

Type of respondent

Title: NCCAM Customer Service Data
Collection.
Type of Information Collection
Request: Revision.
Need and Use of Information
Collection: NCCAM provides the public,
patients, families, health care providers,
complementary and alternative
medicine (CAM) practitioners, and
others with the latest scientifically
based information on CAM and
information about NCCAM’s programs
through a variety of channels, including
its toll-free telephone information

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service. NCCAM wishes to continue to
measure customer satisfaction with
NCCAM telephone interactions and to
assess which audiences are being
reached through these channels. This
effort involves a telephone survey
consisting of 10 questions, which 25
percent of all callers are asked to
answer, for an annual total of
approximately 983 respondents.
NCCAM uses the data collected from the
survey to help program staff measure
the impact of their communication
efforts, tailor services to the public and
health care providers, measure service
use among special populations, and
assess the most effective media and
messages to reach these audiences.
Frequency of Response: Once.
Affected Public: Individuals and
households.
Type of Respondents: Patients,
spouses/family/friends of patients,
health care providers, physicians, CAM
practitioners, or other individuals
contacting the NCCAM Clearinghouse.
The annual reporting burden is as
follows:

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File Typeapplication/pdf
File TitleDocument
SubjectExtracted Pages
AuthorU.S. Government Printing Office
File Modified2009-09-03
File Created2009-09-03

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